Interim Standard
UPDATE AVAILABLE
AS 2828.2(Int)-2012
[Superseded]Health records, Part 2: Digitized (scanned) health record system requirements
This Interim Standard specifies requirements for systems that digitize (scan) paper medical
records into electronic versions, including image quality, retention of originals and
conversion processes.
Published: 29/06/2012
Pages: 32
Table of contents
Cited references
Content history
Table of contents
Header
About this publication
Preface
Foreword
1 Scope, objective, referenced documents and stakeholders
1.1 Scope
1.2 Objective
1.3 Referenced documents
1.4 Stakeholders
2 Definitions
2.1 General
2.2 Format of record
2.3 Extent of coverage of content of record
2.4 Other definitions
3 Overview
3.1 Digitizing health record system
3.1.1 General
3.1.2 Impact on patient care
3.2 Benefits of digitized health records
3.3 Relationships to clinical information systems
4 System requirements
4.1 General
4.2 Legibility
4.3 Metadata and indexing requirements
4.3.1 General
4.3.2 Image-level metadata
4.3.3 Health record document metadata
4.3.3.1 General
4.3.3.2 Patient demographics
4.3.3.3 Identifiers
4.3.3.4 Episode metadata
4.4 Audit trail metadata
4.5 Information exchange
4.6 Technical digitization requirements
4.7 Software and hardware
4.7.1 General
4.7.2 Scanners
4.7.2.1 General
4.7.2.2 Scanning software features
4.7.2.3 Extra features
4.7.3 Calibration features
4.7.4 Data entry/indexing features
4.7.5 Viewing features
4.7.6 Printing
4.8 Barcoding of documents
4.8.1 General
4.8.2 Barcode specifications
4.8.3 Patient label barcode specification
4.9 Optical and intelligent character recognition (OCR)
4.10 Audit trails and user log-on reporting
4.10.1 General
4.10.2 Audit trail
4.10.3 User log functions
5 Process requirements
5.1 Structure and presentation in the digitizing health record system
5.2 Conversion process
5.2.1 General
5.2.2 Key elements
5.2.3 Scanning
5.2.4 Backscanning
5.2.5 Repository management
5.2.6 Document management improvement
5.3 Off-site access
5.4 Process and change management
5.5 Quality assurance and control
5.5.1 Quality assurance
5.5.2 Quality control processes
5.6 Implementation performance indicators
6 Legal principles
6.1 Legal requirements
6.2 Disposal of source documents
7 Other requirements
7.1 Storage
7.2 Contingency and redundancy
7.3 Outages policy
7.4 Upgrades
7.5 Ergonomic work stations
7.6 Staffing and skill sets
Appendix A
Appendix B
B1 General
B2 Bitonal images
B3 Colour images
B4 Lower specifications
B5 Higher specifications
B6 Retrospectivity
B7 Output formats
B8 Lossy compression
B9 Multi-page records
B10 Reproduction of images
Appendix C
C1 Joint photographic experts group (JPEG)
C2 JPEG 2000
C3 Portable document format (PDF)
C4 Raw
C5 Tagged image file format (TIFF)
Bibliography
Cited references in this standard
SA HB 59
Ergonomics—The human factor—A practical approach to work systems design
SA HB 307
Guide to the principles and desirable features of clinical decision support systems
ISO/DIS 57789
Health Informatics—Audit trails for electronic health records
[Current]
Information and documentation - Metadata for managing records - Part 2: Conceptual and implementation issues
Content history
[Current]
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